Hong Ku Kim, DDS, a Professional Cooperation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HONG KU KIM, DDS, A PROFESSIONAL COOPERATION

Practice address

2379 E Colorado Blvd
Pasadena, CA 91107-4263

Phone

(626) 584-7017

Fax

(626) 584-7017

NPI assigned

Jun 30, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hong Ku Kim, DDSNPI 1285650275

Title

Dentist/Owner

Phone

(626) 584-7017

Specialties & licenses 1

Addresses

Other names 1

• Colorado Dental Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hong Ku Kim, D.D.S.

  • Dentist
  • Pasadena, CA
  • NPI 1285650275
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1992375901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2379 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074263",
            "telephone_number": "626-584-7017",
            "fax_number": "626-584-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2379 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074263",
            "telephone_number": "626-584-7017",
            "fax_number": "626-584-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONG KU KIM, DDS, A PROFESSIONAL COOPERATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HONG",
        "authorized_official_middle_name": "KU",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "626-584-7017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Homes for Life Foundation
• Homestead Home Health Inc
• Holly Nichole Homeyer
• Sarah Homsy, LCSW, MPH
• Talin Honarchian
• Benjamin Hong
• Christine Hong, PA
• Esther Hong
• Jeffrey C. Hong, MD
• Jiwon Jason Hong, DC

• General Practice Dentistry in Pasadena, CA
• Providers in Pasadena, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.